SARS-CoV-2 infection and thrombotic complications: a narrative review

Abstract The current, global situation regarding the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) pandemic and its potentially devastating clinical manifestations, i.e. coronavirus disease 2019 (COVID-19), took the world by storm, as millions of people have been infected worldwide and more than 1,600,000 patients have succumbed. Infection induced by various respiratory viruses may lead to thrombotic complications. Infection-elicited thrombosis may involve a repertoire of distinct, yet interconnected pathophysiological mechanisms, implicating a hyperinflammatory response, platelet activation and triggering of the coagulation cascade. In the present review, we present current knowledge on the pathophysiological mechanisms that may underlie thrombotic complications in SARS-CoV-2 infection. Furthermore, we provide clinical data regarding the incidence rate of thrombotic events in several viral respiratory infections that cause acute respiratory distress syndrome, including SARS-CoV-2 infection and finally we summarize current recommendations concerning thromboprophylaxis and antithrombotic therapy in patients with thrombotic complications related to SARS-CoV-2 infection..

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:52

Enthalten in:

Journal of thrombosis and thrombolysis - 52(2021), 1 vom: 15. Jan., Seite 111-123

Sprache:

Englisch

Beteiligte Personen:

Moschonas, Iraklis C. [VerfasserIn]
Tselepis, Alexandros D. [VerfasserIn]

Links:

Volltext [lizenzpflichtig]

BKL:

44.85

Themen:

Acute respiratory distress syndrome
Antithrombotic therapy
COVID-19
Endothelium
Inflammation
Respiratory viruses
SARS-CoV-2
Thrombosis
Venous thromboembolism

Anmerkungen:

© The Author(s), under exclusive licence to Springer Science+Business Media, LLC part of Springer Nature 2021

doi:

10.1007/s11239-020-02374-3

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

SPR044566077